Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.0 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.0 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2024-11-17 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="ImmsotVaccinationDataEntryQuestionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire ImmsotVaccinationDataEntryQuestionnaire</b></p><a name="ImmsotVaccinationDataEntryQuestionnaire"> </a><a name="hcImmsotVaccinationDataEntryQuestionnaire"> </a><a name="ImmsotVaccinationDataEntryQuestionnaire-en-NZ"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Submit an overseas, historic, or not-done vaccination to AIR</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ImmsotVaccinationDataEntryQuestionnaire#0.4.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item.p01-Immunisation" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> p01-Immunisation</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1. Page 1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q01-Type" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> p01-q01-Type</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 1. Type of vaccination</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.p01-q01-Type">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q02-StatusCompleted" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> p01-q02-StatusCompleted</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 2. Extract - Status completed</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.status">Immunization.status</a><br/>Enable When: <ul><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li></ul><br/>Initial Value: string = completed</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q03-StatusNotDone" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> p01-q03-StatusNotDone</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 3. Extract - Status not done</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.status">Immunization.status</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span><br/>Initial Value: string = not-done</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q04-StatusReasonOverseas" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> p01-q04-StatusReasonOverseas</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 4. Extract - Status reason</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.statusReason.coding[]">Immunization.statusReason.coding[]</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span><br/>Initial Value: Coding = <span title="https://standards.digital.health.nz/ns/air-status-reason-terms">air-status-reason-terms</span>#GIVNOS "Given overseas"</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q05-StatusReasonHistoric" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> p01-q05-StatusReasonHistoric</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 5. Extract - Status reason</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.statusReason.coding[]">Immunization.statusReason.coding[]</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span><br/>Initial Value: Coding = <span title="https://standards.digital.health.nz/ns/air-status-reason-terms">air-status-reason-terms</span>#HSTGIVN "Given historically"</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q06-StatusReasonNotDone" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> p01-q06-StatusReasonNotDone</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 6. Status reason</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.statusReason.coding[]">Immunization.statusReason.coding[]</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span><br/>Options: <a href="#opt-item.p01-q06-StatusReasonNotDone">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q07-FacilityOverseas" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> p01-q07-FacilityOverseas</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 7. Extract - Overseas facility</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.location">Immunization.location</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span><br/>Initial Value: Coding = <span title="null">[not stated]</span>#F3R789-A "NIR Overseas Clinic"</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q08-FacilityHistoric" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> p01-q08-FacilityHistoric</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 8. Extract - Historic facility</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.location">Immunization.location</a><br/>Enable When: <ul><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li></ul><br/>Initial Value: Coding = <span title="null">[not stated]</span>#F3R790-H "NIR Unknown NZ Clinic"</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q09-Antigens" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> p01-q09-Antigens</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 9. Vaccine antigens</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.vaccineCode.coding[]">Immunization.vaccineCode.coding[]</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> exists </span><br/>Options: <a href="#opt-item.p01-q09-Antigens">82 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q10-DoseNumber" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> p01-q10-DoseNumber</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 10. Dose number</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.protocolApplied[].doseNumberPositiveInt">Immunization.protocolApplied[].doseNumberPositiveInt</a><br/>Enable When: <ul><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li></ul></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q11-DoseNumber" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: white; background-color: inherit" title="integer" class="hierarchy"/> p01-q11-DoseNumber</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 11. Dose number</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.protocolApplied[].doseNumberPositiveInt">Immunization.protocolApplied[].doseNumberPositiveInt</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q12-Indication" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> p01-q12-Indication</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 12. Indication (reason code)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.reasonCode[].coding[]">Immunization.reasonCode[].coding[]</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> exists </span><br/>Options: <a href="#opt-item.p01-q12-Indication">33 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q13-DateAdministered" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> p01-q13-DateAdministered</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 13. Date vaccine administered</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.occurrenceDateTime">Immunization.occurrenceDateTime</a><br/>Enable When: <ul><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li><li><a href="#item.p01-q01-Type">p01-q01-Type</a> = </li></ul></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.p01-q14-DateNotDone" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> p01-q14-DateNotDone</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 14. Date vaccine determined as not done</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: <a href="http://hl7.org/fhir/R4/immunization.html#Immunization.occurrenceDateTime">Immunization.occurrenceDateTime</a><br/>Enable When: <span><a href="#item.p01-q01-Type">p01-q01-Type</a> = </span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" id="item.p01-q15-SubjectMeta" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> p01-q15-SubjectMeta</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">page 1 question 15. null</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt="icon"/></a><img src="icon-qi-hidden.png" alt="icon"/></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Initial Value: boolean = true</td></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.p01-q01-Type"> </a><p><b>Answer options for p01-q01-Type </b></p><ul><li style="font-size: 11px">null#Overseas ("Overseas")</li><li style="font-size: 11px">null#Historic ("Historic")</li><li style="font-size: 11px">null#Not done ("Not done")</li></ul><a name="opt-item.p01-q06-StatusReasonNotDone"> </a><p><b>Answer options for p01-q06-StatusReasonNotDone </b></p><ul><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DPC ("Declined by parent/guardian")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DIC ("Declined by individual")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DMC ("Permanent contraindication")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-status-reason-terms#DNI ("Immune")</li></ul><a name="opt-item.p01-q09-Antigens"> </a><p><b>Answer options for p01-q09-Antigens </b></p><ul><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#03 ("03 - MMR")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#05 ("05 - Measles")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#06 ("06 - Rubella")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#08 ("08 - HepB")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#09 ("09 - Td")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#10 ("10 - IPV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#19 ("19 - BCG")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#20 ("20 - DTaP")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#21 ("21 - VV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#22 ("22 - DTP-Hib")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#25 ("25 - Typhoid")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#26 ("26 - Cholera")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#28 ("28 - DT")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#30 ("30 - HBIG")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#33 ("33 - 23PPV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#35 ("35 - Tetanus")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#37 ("37 - YFV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#39 ("39 - JEV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#43 ("43 - HepB")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#44 ("44 - HepB")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#48 ("48 - Hib-PRP-T")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#50 ("50 - DTaP-Hib")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#51 ("51 - Hib-HepB")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#52 ("52 - HepA")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#56 ("56 - Dengue")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#62 ("62 - HPV4")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#75 ("75 - MPX")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#83 ("83 - HepA")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#100 ("100 - PCV7")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#101 ("101 - Typhoid")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#103 ("103 - MenC")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#104 ("104 - HepB-HepA")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#110 ("110 - DTaP-IPV-HepB")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#114 ("114 - MenACWY")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#115 ("115 - Tdap")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#116 ("116 - RV5")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#118 ("118 - HPV2")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#119 ("119 - RV1")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#120 ("120 - DTaP-IPV-Hib")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#121 ("121 - rZV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#127 ("127 - Influenza A (H1N1)")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#130 ("130 - DTaP-IPV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#133 ("133 - PCV13")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#134 ("134 - JEV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#150 ("150 - Influenza")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#160 ("160 - Influenza A (H5N1)")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#161 ("161 - Influenza")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#163 ("163 - MenB")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#165 ("165 - HPV9")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#182 ("182 - OPV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#187 ("187 - rZV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#202 ("202 - Influenza")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#205 ("205 - Influenza")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#208 ("208 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#210 ("210 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#211 ("211 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#217 ("217 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#218 ("218 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#219 ("219 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#222 ("222 - TBE")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#300 ("300 - COVID-19")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#303 ("303 - RSV")</li><li style="font-size: 11px">http://hl7.org/fhir/sid/cvx#500 ("500 - COVID-19")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#52101 ("52101 - HepA-Typhoid")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#090306 ("090306 - PCV unspecified")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#90906 ("90906 - Td")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99001 ("99001 - DTaP-IPV")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99002 ("99002 - MeNZB")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99003 ("99003 - Diphtheria, paed")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99004 ("99004 - aP")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99005 ("99005 - Diphtheria, adult")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99006 ("99006 - Influenza")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99007 ("99007 - HepA")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99008 ("99008 - MenACWY")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99009 ("99009 - Rabies")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99010 ("99010 - RIG")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99011 ("99011 - Tdap-IPV")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99012 ("99012 - Tdap")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#99013 ("99013 - MenC")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#210307 ("210307 - DTaP-IPV-HepB/Hib")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#260209 ("260209 - PCV10")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/immunisation-code#EVPMnC ("EVPMnC - MenC")</li></ul><a name="opt-item.p01-q12-Indication"> </a><p><b>Answer options for p01-q12-Indication </b></p><ul><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#1 ("Influenza, eligible over 65 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#2 ("Influenza, eligible under 18 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#3 ("Influenza, eligible criteria")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#4 ("Sexual or household contact")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#5 ("Primary course")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#6 ("Booster")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#7 ("Post partum")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#8 ("Low birth weight")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#9 ("HepB carrier mother")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#10 ("At risk for TB")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#11 ("Pre-post splenectomy schedule")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#12 ("At risk, no previous history")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#13 ("At risk, previous PCV history")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#14 ("At risk, previous 23PPV")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#15 ("Pre-emergency")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#16 ("Pregnant")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#21 ("PCV catch up")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#Pre ("Pre-primary course")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#Stn ("Funded, if not otherwise specified")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#6W ("6 weeks")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#3M ("3 months")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#5M ("5 months")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#12M ("12 months")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#15M ("15 months")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#4Y ("4 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#11Y ("11 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#14Y ("14 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#45Y ("45 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#65Y ("65 years")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#96 ("HepB high risk, booster or extra dose")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#TPW ("Tetanus-prone wound")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#5P ("Privately funded, primary course")</li><li style="font-size: 11px">https://standards.digital.health.nz/ns/air-terms-code#6P ("Privately funded, booster")</li></ul></div>
</text>
<url
value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ImmsotVaccinationDataEntryQuestionnaire"/>
<identifier>
<use value="usual"/>
<value value="ImmsotVaccinationDataEntryQuestionnaire"/>
<period>
<start value="2023-07-05"/>
</period>
</identifier>
<version value="0.4.0"/>
<title value="AIR - Overseas, Historic, Not Done"/>
<status value="draft"/>
<date value="2024-11-17T21:27:07+00:00"/>
<publisher value="Te Whatu Ora"/>
<contact>
<name value="Te Whatu Ora"/>
<telecom>
<system value="url"/>
<value value="https://www.tewhatuora.govt.nz/"/>
</telecom>
</contact>
<contact>
<name value="David Grainger"/>
<telecom>
<system value="email"/>
<value value="david.grainger@middleware.co.nz"/>
<use value="work"/>
</telecom>
</contact>
<description
value="Submit an overseas, historic, or not-done vaccination to AIR"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="NZ"/>
<display value="New Zealand"/>
</coding>
</jurisdiction>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/sdc-questionnaire-itemExtractionContext">
<valueCode value="Immunization"/>
</extension>
<linkId value="p01-Immunisation"/>
<prefix value="page 1"/>
<text value="Page 1"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="p01-q01-Type"/>
<prefix value="page 1 question 1"/>
<text value="Type of vaccination"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<code value="Overseas"/>
<display value="Overseas"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Historic"/>
<display value="Historic"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Not done"/>
<display value="Not done"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q02-StatusCompleted"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.status"/>
<prefix value="page 1 question 2"/>
<text value="Extract - Status completed"/>
<type value="string"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Overseas"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Historic"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<required value="true"/>
<initial>
<valueString value="completed"/>
</initial>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q03-StatusNotDone"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.status"/>
<prefix value="page 1 question 3"/>
<text value="Extract - Status not done"/>
<type value="string"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Not done"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<initial>
<valueString value="not-done"/>
</initial>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q04-StatusReasonOverseas"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]"/>
<prefix value="page 1 question 4"/>
<text value="Extract - Status reason"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Overseas"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<initial>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
<code value="GIVNOS"/>
<display value="Given overseas"/>
</valueCoding>
</initial>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q05-StatusReasonHistoric"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]"/>
<prefix value="page 1 question 5"/>
<text value="Extract - Status reason"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Historic"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<initial>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
<code value="HSTGIVN"/>
<display value="Given historically"/>
</valueCoding>
</initial>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="p01-q06-StatusReasonNotDone"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.statusReason.coding[]"/>
<prefix value="page 1 question 6"/>
<text value="Status reason"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Not done"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
<code value="DPC"/>
<display value="Declined by parent/guardian"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
<code value="DIC"/>
<display value="Declined by individual"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
<code value="DMC"/>
<display value="Permanent contraindication"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-status-reason-terms"/>
<code value="DNI"/>
<display value="Immune"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q07-FacilityOverseas"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.location"/>
<prefix value="page 1 question 7"/>
<text value="Extract - Overseas facility"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Overseas"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<initial>
<valueCoding>
<code value="F3R789-A"/>
<display value="NIR Overseas Clinic"/>
</valueCoding>
</initial>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q08-FacilityHistoric"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.location"/>
<prefix value="page 1 question 8"/>
<text value="Extract - Historic facility"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Historic"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Not done"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<initial>
<valueCoding>
<code value="F3R790-H"/>
<display value="NIR Unknown NZ Clinic"/>
</valueCoding>
</initial>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="p01-q09-Antigens"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.vaccineCode.coding[]"/>
<prefix value="page 1 question 9"/>
<text value="Vaccine antigens"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="exists"/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="03"/>
<display value="03 - MMR"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="05"/>
<display value="05 - Measles"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="06"/>
<display value="06 - Rubella"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="08"/>
<display value="08 - HepB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="09"/>
<display value="09 - Td"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="10"/>
<display value="10 - IPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="19"/>
<display value="19 - BCG"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="20"/>
<display value="20 - DTaP"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="21"/>
<display value="21 - VV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="22"/>
<display value="22 - DTP-Hib"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="25"/>
<display value="25 - Typhoid"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="26"/>
<display value="26 - Cholera"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="28"/>
<display value="28 - DT"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="30"/>
<display value="30 - HBIG"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="33"/>
<display value="33 - 23PPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="35"/>
<display value="35 - Tetanus"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="37"/>
<display value="37 - YFV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="39"/>
<display value="39 - JEV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="43"/>
<display value="43 - HepB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="44"/>
<display value="44 - HepB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="48"/>
<display value="48 - Hib-PRP-T"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="50"/>
<display value="50 - DTaP-Hib"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="51"/>
<display value="51 - Hib-HepB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="52"/>
<display value="52 - HepA"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="56"/>
<display value="56 - Dengue"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="62"/>
<display value="62 - HPV4"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="75"/>
<display value="75 - MPX"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="83"/>
<display value="83 - HepA"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="100"/>
<display value="100 - PCV7"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="101"/>
<display value="101 - Typhoid"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="103"/>
<display value="103 - MenC"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="104"/>
<display value="104 - HepB-HepA"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="110"/>
<display value="110 - DTaP-IPV-HepB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="114"/>
<display value="114 - MenACWY"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="115"/>
<display value="115 - Tdap"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="116"/>
<display value="116 - RV5"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="118"/>
<display value="118 - HPV2"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="119"/>
<display value="119 - RV1"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="120"/>
<display value="120 - DTaP-IPV-Hib"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="121"/>
<display value="121 - rZV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="127"/>
<display value="127 - Influenza A (H1N1)"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="130"/>
<display value="130 - DTaP-IPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="133"/>
<display value="133 - PCV13"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="134"/>
<display value="134 - JEV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="150"/>
<display value="150 - Influenza"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="160"/>
<display value="160 - Influenza A (H5N1)"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="161"/>
<display value="161 - Influenza"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="163"/>
<display value="163 - MenB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="165"/>
<display value="165 - HPV9"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="182"/>
<display value="182 - OPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="187"/>
<display value="187 - rZV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="202"/>
<display value="202 - Influenza"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="205"/>
<display value="205 - Influenza"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="208"/>
<display value="208 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="210"/>
<display value="210 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="211"/>
<display value="211 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="217"/>
<display value="217 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="218"/>
<display value="218 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="219"/>
<display value="219 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="222"/>
<display value="222 - TBE"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="300"/>
<display value="300 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="303"/>
<display value="303 - RSV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="500"/>
<display value="500 - COVID-19"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="52101"/>
<display value="52101 - HepA-Typhoid"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="090306"/>
<display value="090306 - PCV unspecified"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="90906"/>
<display value="90906 - Td"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99001"/>
<display value="99001 - DTaP-IPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99002"/>
<display value="99002 - MeNZB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99003"/>
<display value="99003 - Diphtheria, paed"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99004"/>
<display value="99004 - aP"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99005"/>
<display value="99005 - Diphtheria, adult"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99006"/>
<display value="99006 - Influenza"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99007"/>
<display value="99007 - HepA"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99008"/>
<display value="99008 - MenACWY"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99009"/>
<display value="99009 - Rabies"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99010"/>
<display value="99010 - RIG"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99011"/>
<display value="99011 - Tdap-IPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99012"/>
<display value="99012 - Tdap"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="99013"/>
<display value="99013 - MenC"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="210307"/>
<display value="210307 - DTaP-IPV-HepB/Hib"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="260209"/>
<display value="260209 - PCV10"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/immunisation-code"/>
<code value="EVPMnC"/>
<display value="EVPMnC - MenC"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="p01-q10-DoseNumber"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.protocolApplied[].doseNumberPositiveInt"/>
<prefix value="page 1 question 10"/>
<text value="Dose number"/>
<type value="integer"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Overseas"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Historic"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
</item>
<item>
<linkId value="p01-q11-DoseNumber"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.protocolApplied[].doseNumberPositiveInt"/>
<prefix value="page 1 question 11"/>
<text value="Dose number"/>
<type value="integer"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Not done"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="p01-q12-Indication"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.reasonCode[].coding[]"/>
<prefix value="page 1 question 12"/>
<text value="Indication (reason code)"/>
<type value="choice"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="exists"/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="1"/>
<display value="Influenza, eligible over 65 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="2"/>
<display value="Influenza, eligible under 18 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="3"/>
<display value="Influenza, eligible criteria"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="4"/>
<display value="Sexual or household contact"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="5"/>
<display value="Primary course"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="6"/>
<display value="Booster"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="7"/>
<display value="Post partum"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="8"/>
<display value="Low birth weight"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="9"/>
<display value="HepB carrier mother"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="10"/>
<display value="At risk for TB"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="11"/>
<display value="Pre-post splenectomy schedule"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="12"/>
<display value="At risk, no previous history"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="13"/>
<display value="At risk, previous PCV history"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="14"/>
<display value="At risk, previous 23PPV"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="15"/>
<display value="Pre-emergency"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="16"/>
<display value="Pregnant"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="21"/>
<display value="PCV catch up"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="Pre"/>
<display value="Pre-primary course"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="Stn"/>
<display value="Funded, if not otherwise specified"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="6W"/>
<display value="6 weeks"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="3M"/>
<display value="3 months"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="5M"/>
<display value="5 months"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="12M"/>
<display value="12 months"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="15M"/>
<display value="15 months"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="4Y"/>
<display value="4 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="11Y"/>
<display value="11 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="14Y"/>
<display value="14 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="45Y"/>
<display value="45 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="65Y"/>
<display value="65 years"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="96"/>
<display value="HepB high risk, booster or extra dose"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="TPW"/>
<display value="Tetanus-prone wound"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="5P"/>
<display value="Privately funded, primary course"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://standards.digital.health.nz/ns/air-terms-code"/>
<code value="6P"/>
<display value="Privately funded, booster"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="p01-q13-DateAdministered"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.occurrenceDateTime"/>
<prefix value="page 1 question 13"/>
<text value="Date vaccine administered"/>
<type value="date"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Overseas"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Historic"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<required value="true"/>
</item>
<item>
<linkId value="p01-q14-DateNotDone"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/Immunization#Immunization.occurrenceDateTime"/>
<prefix value="page 1 question 14"/>
<text value="Date vaccine determined as not done"/>
<type value="date"/>
<enableWhen>
<question value="p01-q01-Type"/>
<operator value="="/>
<answerCoding>
<display value="Not done"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
</item>
<item>
<extension
url="http://health.govt.nz/fhir/StructureDefinition/sdc-questionnaire-extractMetadata">
<extension url="source">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="QuestionnaireResponse.subject"/>
</valueExpression>
</extension>
<extension url="destination">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="Immunization.patient"/>
</valueExpression>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p01-q15-SubjectMeta"/>
<prefix value="page 1 question 15"/>
<type value="boolean"/>
<initial>
<valueBoolean value="true"/>
</initial>
</item>
</item>
</Questionnaire>